A lingual frenectomy is a procedure that releases or removes part of the lingual frenulum, the tissue that connects the underside of the tongue to the floor of the mouth.

When the frenulum restricts normal tongue movement, it is sometimes referred to as a tongue-tie or ankyloglossia.

What Is a Tongue-Tie?

The lingual frenulum is a normal structure. In some people, it may be unusually tight, short or positioned in a way that limits tongue movement.

Possible functional concerns can include:

  • Difficulty moving the tongue
  • Difficulty lifting the tongue
  • Speech-related concerns
  • Difficulty with certain oral movements
  • Feeding difficulties in infants
  • Difficulty maintaining proper tongue posture

Not everyone with a restrictive frenulum requires treatment.

Lingual Frenectomy and Airway Care

The tongue plays an important role in oral function and its position can be relevant when evaluating the mouth and airway.

However, a lingual frenectomy should not automatically be considered a treatment for sleep apnea.

Patients should receive an individualized evaluation to determine whether restricted tongue movement is contributing to a specific functional concern.

What Happens During a Lingual Frenectomy?

If treatment is recommended, the procedure involves releasing the restrictive tissue under the tongue.

The exact technique depends on the patient’s age, anatomy and clinical needs.

The procedure should be performed by an appropriately trained healthcare professional after a complete evaluation.

Evaluation Before Treatment

Before recommending a frenectomy, we may evaluate:

  • Tongue mobility
  • Frenulum appearance and attachment
  • Oral function
  • Dental development
  • Breathing habits
  • Relevant airway concerns
  • Medical and dental history

For children, coordination with a pediatrician, pediatric dentist, speech therapist, ENT or other specialist may be appropriate depending on the situation.

After the Procedure

Post-procedure care varies from patient to patient. Your provider will give you specific instructions based on the procedure and your individual needs.

Schedule a Tongue & Airway Evaluation

If you believe restricted tongue movement may be affecting oral function or breathing, contact our office to discuss an evaluation.